Cutaneous metastasis of invasive ductal carcinoma on FNAC: A case report

Kaushik A, Joshi U, Pant P, Rizvi G, Pandey HS

Pdf Page Numbers :- 42-43

Kaushik A^1,*, Joshi U¹, Pant P¹, Rizvi G¹, and Pandey HS¹

¹Department of Pathology, Government Medical College, Haldwani, Uttarakhand-263139, India

*Corresponding author: Dr. Ankit Kaushik, Assistant Professor, Department of Pathology, Government Medical College, Haldu Pokhara Nayak, Rampur, Haldwani, Uttarakhand-263139, India. Email: kaushikankit1983@gmail.com.

Received 16 September 2021; Revised 22 November 2021; Accepted 6 December 2021; Published 14 December 2021

Citation: Kaushik A, Joshi U, Pant P, Rizvi G, Pandey HS. Cutaneous metastasis of invasive ductal carcinoma on FNAC: A case report. J Med Sci Res. 2022; 10(1):42-43. DOI: http://dx.doi.org/10.17727/JMSR.2022/10-9

Copyright: © 2022 Kaushik A et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

The cutaneous metastasis is a late uncommon manifestation of cancer and indicates poor prognosis. The cutaneous metastasis can be a first presentation of underlying malignancy. The FNAC is an easy tool for rapid diagnosis of cutaneous metastasis. A 47-year-old female, known case of invasive ductal carcinoma presented to hospital with history of multiple nodular skin lesions over the body varying in size from 0.5-1.5 cm from past 2 months. The smears were cellular and comprises of loose clusters and singly scattered atypical epithelial cells, displaying moderate degree of pleomorphism with mild amount of cytoplasm, large irregular nucleus with fine to coarse chromatin, inconspicuous to conspicuous nucleoli and occasional atypical mitosis against a lipohemorrhagic background. The diagnosis of metastatic deposits of invasive ductal carcinoma was rendered. The clinical diagnosis of metastatic deposits can be challenges, especially in case of distant metastasis or when the cutaneous metastasis is the first presentation. The cutaneous metastasis can be confused clinically as adnexal lesion. The use of special stains and immunohistochemical markers can aid in diagnosis.

Keywords: cutaneous; metastasis; FNAC